I am about 4 months post-nissen with conitinued burning issues. I have had all the required tests and we have found that indeed I do have continued BILE reflux after my nissen. Bummer, but here is my question. I have also been concurrently dealing with lower GI issues that I have attributed to IBS stemming from taking many antibiotics during my long process of finding an answer to this reflux.....gurgling stomach, gas, bloating.....ususally mild, but after a recent dose of rifaximin pre-nissen, symptoms have gone wild. Turns out it is FRUCTOSE MALABSORPTION. Anyone dealt with this? When I eat the very restricted diet needed, my lower gi symptoms ease( as of last week). My question.....Has anyone heard of this fructose issue being an underlying cause of refractory GERD? If i have had this on some level for a long time, could this be the root cause?
any info would be appreciated!